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The body is exhausted, the arms, the legs are heavy.  The head is sore; the back of the neck aches, the vision may be blurred.  A tendency to stagger can occur.  The mind may feel like it is encased in glue.  Thoughts may by this stage have slowed down.  In a tired mind thoughts become intractable, the mind gets caught in a groove of fearful thinking, the ground has been very well prepared for phobias and obsessions to take hold.  Tears, sadness, despair, an over reaction to life events and inner feelings make the sufferer feel even more helpless.  What has been described is called Muscular, Mental, and Emotional Fatigue.  The person, by this stage cannot believe that these disturbing feelings can be attributed to mere fatigue, but fatigue it is.  Especially when complicated by feelings of unreality that convinces him that he really has gone mad or will never, never recover.  He cannot break out of the seemingly cemented rut of paralysed fearful worry.

I have dealt with clients who as a result of extreme mental fatigue have been convinced that they are going mad.  One man, who had not slept for days, confided that he was seeing images of himself in front of him and was absolutely convinced that he was “losing it”.  I explained to him that this was a phenomenon known as Doppelgangers and that he was not “losing it”.

The mind and body have been through the wringer; it has been subjected to constant intense fear over a prolonged period of time.  It is no surprise that he feels this way.  As Dr Weekes states the body is following a natural pattern.

Intense, uncomfortable, but natural pattern.


An extract from my book: Breaking The Vicious Circle of Psychological Misery